绘制补救图:支持学员完成补救的可行路线图。

IF 3 3区 医学 Q1 PEDIATRICS
N M Orlov, N Goodrich, D Mills, E Nelsen, S T Li
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引用次数: 0

摘要

新内容:这一定性分析提供了一种可操作的、循序渐进的补救方法:医学研究生教育的目标是培养受训者独立执业所需的能力;然而,一些住院医师在达到能力要求方面举步维艰,需要进行补救。关于如何最好地促进补救措施的证据尚缺。本研究旨在了解儿科补救的最佳实践:方法:对儿科住院医师培训项目主任(PDs)进行了一项关于补救措施的全国性网络调查。调查包括3个开放式问题,内容涉及儿科住院医师在补习方面的经验。采用归纳主题分析法对自我报告的补救障碍和补救策略进行了系统分析,以建立儿科住院医师培训中有效补救的理论:结果:195 位项目主任中有 99 位(50.8%)做出了回应。结果:在 195 位项目主任中,共有 99 位(50.8%)进行了回复。他们提出了两大主题:制定个性化计划,确保达到能力要求;促进心理安全。12个类别概述了项目主任可采取的可行步骤,以确保补救过程取得成功:根据儿科住院医师的见解,我们提出了一个有效补救的概念模型,既能保证住院医师达到能力要求,又能保护住院医师的情感健康。该概念模型将补救过程分为四个阶段:识别有困难的学习者、规划补救过程、实施计划以及评估补救过程的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mapping out Remediation: An Actionable Roadmap to Support Trainees Through Remediation.

What's new: This qualitative analysis offers an actionable, stepwise approach to remediation.

Introduction: The goal of graduate medical education is for trainees to develop the competence needed to practice independently; however, some residents struggle to achieve competency and require remediation. Evidence around how to best facilitate remediation is lacking. The objective of this study was to understand best practices for remediation in pediatrics.

Method: A national web-based survey of pediatric residency program directors (PDs) on remediation practices was performed. The survey included 3 open-ended questions about PDs' experiences with remediation. Self-reported barriers to and strategies for remediation were systematically analyzed using inductive thematic analysis to develop a theory of effective remediation in pediatric residency training.

Results: A total of 99 out of 195 (50.8%) program directors responded. Two main themes emerged: developing a personalized plan that ensures competency attainment and fostering psychological safety. Twelve categories outline actionable steps that PDs can take to make the remediation process successful.

Discussion: Built from insight from pediatric PDs, we propose a conceptual model for effective remediation that accounts for competency attainment while safeguarding the emotional health of the resident. The conceptual model breaks the remediation process down into four phases: identification of the learner who struggles, planning the remediation process, implementation of the plan, and assessing the outcome of the process.

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来源期刊
Academic Pediatrics
Academic Pediatrics PEDIATRICS-
CiteScore
4.60
自引率
12.90%
发文量
300
审稿时长
60 days
期刊介绍: Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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